Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.91 / $1,438.53 / $3,457.00	Professional		$699.91	$1,438.53	$3,457.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $115.03 / $215.78 / $215.78	Professional	55	$115.03	$215.78	$215.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.85 / $1,884.64 / $2,355.80	Professional		$940.85	$1,884.64	$2,355.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $725.59 / $1,032.42 / $1,719.44	Professional		$725.59	$1,032.42	$1,719.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $996.08 / $2,215.34 / $10,015.53	Facility		$996.08	$2,215.34	$10,015.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $857.61 / $1,415.14 / $2,587.71	Professional		$857.61	$1,415.14	$2,587.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $2,293.56 / $4,188.66	Facility		$1,163.00	$2,293.56	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,145.50 / $1,602.99 / $2,257.77	Professional		$1,145.50	$1,602.99	$2,257.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,784.87 / $2,784.87 / $2,784.87	Facility		$2,784.87	$2,784.87	$2,784.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.33 / $1,193.20 / $2,427.64	Professional		$820.33	$1,193.20	$2,427.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,210.28 / $1,676.20 / $1,802.30	Professional		$1,210.28	$1,676.20	$1,802.30